Inbound/Outbound Queue Associate
Job Description:
- Manage and monitor inbound and outbound authorization work queues
- Receive, review, and process authorization requests and supporting documentation
- Review requests for completeness and identify missing or incomplete information
- Route authorization requests to the appropriate team or department
- Process fax, email, and electronic submissions related to service authorization activities
- Respond to authorization-related inquiries and provide status updates
- Enter and maintain accurate information within authorization and care management systems
- Document actions and maintain required records
- Support administrative and operational workflows related to service authorizations
- Monitor pending requests and assist with follow-up activities
- Maintain productivity, accuracy, and quality standards while managing a high-volume workload
- Assist with special projects, backlog reduction efforts, and operational initiatives
Requirements:
- High School Diploma or GED required
- Strong communication, customer service, and organizational skills
- Ability to work effectively in a fast-paced, high-volume operational environment
- Strong verbal and written communication skills
- Proficiency with Microsoft Office applications and data entry systems
- Ability to prioritize and manage multiple tasks while meeting established deadlines
- Strong attention to detail and commitment to accuracy
- Experience in healthcare, Medicaid, managed care, service authorization, administrative support, or customer service preferred
Benefits:
- CVS Health bonus, commission or short-term incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being, based on eligibility